Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY M. WALLER, DDS
ActiveDR. MARY M. WALLER, DDS is a Dentist healthcare provider located in GENOA CITY, Wisconsin. NPI 1679772669 is currently active in the NPPES registry. Verify at CMS.
Dentist · GENOA CITY, WI
Registration Details
- NPI Number
- 1679772669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2007 (19.083984264905 yrs)
- Last Updated
- Jul 11, 2007
- License
-
2865 (WI)
Practice Information
- Address
-
501 FREEMAN ST.GENOA CITY, WI, 531280159Browse WI providers · Browse ZIP 53128
- Phone
- 2622796432
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.